Healthcare Provider Details

I. General information

NPI: 1144826918
Provider Name (Legal Business Name): RICHARD HOOD RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2020
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 CRESCENT PARK DR
RIVERVIEW FL
33578-3605
US

IV. Provider business mailing address

4011 CRESCENT PARK DR
RIVERVIEW FL
33578-3605
US

V. Phone/Fax

Practice location:
  • Phone: 813-499-9340
  • Fax: 888-910-5230
Mailing address:
  • Phone: 813-499-9340
  • Fax: 888-910-5230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPS28019
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: